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Developmental milestones are important, measurable indicators of an individual's growth that are evaluated based upon age. Each milestone is associated with a specific age and indicates typical development, although the age at which a typically developing child reaches each of these milestones may vary considerably. The variability in the age that children reach these milestones results from the interaction between genetic and environmental factors. These developmental indicators are commonly used among infants and young children to assess their growth in a variety of areas. Examples of developmental milestones include children's first steps and words. Parents and professionals may observe these developmental areas to assess for delays, or reaching a milestone at a later-than-expected age. Delays in any area may affect future developmental capabilities, depending on the length and severity of the delay. If a delay is detected in any developmental area, professionals may search for the etiology and encourage early intervention.

Table 1 Selected Developmental Milestones
AgesDomains
PhysicalCognitiveLanguageSocial
Birth-2 monthsLifts head for shortRepeated motorCriesResponds to smile with
periodmovementsGurglessmile or vocalization
Hands remain in fistsVisually explores objectsCoos (vowel sounds)
Grasp reflex evidentin environment
Kicks legs and flings
out arms
2–4 monthsRolls from sideFollows objects with eyesCoos more frequentlySmiles at others
to sideLooks aroundVocalizes to make noise(social smile)
Lifts headResponds to environmentLaughs aloud
Begins reaching for(open mouth for nipple)Makes brief eye contact
objects
Grasps objects
4–6 monthsRolls from back to sideAttention becomesSquealsVocalizes
Places fingers in mouthflexible and changesBabbles (vowel/to get attention
First teeth emergeTurns toward sourcesConsonant combinations)Joint attention with
Sits with supportof noiseRepeats syllablesparents to label objects
Grasps and shakesImitates sounds
objects
6–9 monthsCrawlsLooks toward objectsBabbles 2 syllablesStranger anxiety (fear
Pulls self up to standwhen named(mama)of unfamiliar people)
with supportAwareness of objectsCreates nonsenseExpresses anger more
Sits without supportonly if in sightsyllablesfrequently
Moves objects fromResponds to name
hand to hand
9–12 monthsSteps with supportSolves sensorimotorSpeaks first wordsPoints to objects for
Pincer graspproblems by usingUses gestures toothers to look at
Stands alonesimilar situationsinfluence others'Laughs aloud
Walks with supportfrom the pastbehavior (point)Imitates actions and
(holding furniture)Follows 1-wordUses nonverbalfacial expressions of
Coordination betweendirectionscommunicationothers Responds when
two handsAcquires objectsignals (waves bye-bye)adult's mood changes
Feeds self using fingerspermanence (searchesUnderstands meaning
for objects that are notof no
in sight)
12–18 monthsWalks without supportFinds objects hidden inSpeaks several words-Engages in turn-
Turns pages of a bookseveral placesoften nounstaking games
ScribblesCategorizes objectsUses up to 20 words(peek-a-boo)
Crawls up and downAttention improvesShakes head toJoins in play with
stairsDelayed imitationindicate “no”familiar people
Asks for “more”Signs of empathy
Copies unfamiliar soundsapparent
Imitates adults
18–24 monthsRunsFollows simple directionsSpeaks 2-wordParallel play (plays next
ClimbsIdentifies own body partscombinationsto a peer)
Jumps in placeBegins make-believe playUses 50–200 wordsSelf-control appears
KicksSays own nameRecognizes emotions
Pulls and pushesin others
objects
2–3 yearsFine motor skillsPlays with toysUses 3-word phrasesDemonstrates empathy
improve drasticallyfunctionally (uses forNames body partsDifficulty sharing
Begins to drawintended purpose)Uses up to 500 wordsTakes turns in games
Feeds self with utensilsPlays make believeAsks simple questions
Alternates feet on stairs
3–4 yearsReaches bladder &Uses color and shapeUses 4- to 5-wordCooperatively plays
bowel controlto sort objectssentenceswith other children
HopsUses mechanical toysUses up to 1000 wordsPrefers to play with
SkipsUnderstands theSays name and ageother children
concept of two
4–5 yearsThrows ball overheadNames colorsUses 4- to 7-wordUnderstands gender
Uses scissorsRecalls story segmentssentencesconstancy
Copies shapesUnderstandsTells storiesPlays creatively
same/different conceptUnderstands basicSeeks independence
grammatical rules
5–6 yearsHand dominanceCounts to 10 or higherUses 5- to 8-wordWants to be similar to
apparentNames several colorssentencesfriends
Prints lettersAsks meaning of wordsLikes to dance and sing
Catches a ball
appropriately

Although development is frequently viewed holistically, developmental milestones are often applied to specific domains of development. Some of the most prominent areas in which development is assessed include the physical, cognitive, language, and social domains. Physical development entails all physical growth that changes a child's body, and includes such things as coordination and motor skills. Cognitive development refers to mental processes and includes memory and the ability to learn, among others. Language growth encompasses language acquisition and development and includes babbling and baby talk, as well as more advanced expressive language skills. Social development consists of social indicators that demonstrate adjustment to the social environment and includes emotion and interactions with others.

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